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High non-use of contraception among tribal and non-tribal women in North-Eastern India: alarming but neglected

Published online by Cambridge University Press:  26 September 2024

Mithun Mog Open the ORCID record for Mithun Mog [Opens in a new window] ,
Debasis Neogi Open the ORCID record for Debasis Neogi [Opens in a new window]  and
Shobhit Srivastava Open the ORCID record for Shobhit Srivastava [Opens in a new window]
Mithun Mog*
Affiliation:
Department of Management, Humanities and Social Sciences, National Institute of Technology, Agartala, Tripura, India
Debasis Neogi
Affiliation:
Department of Management, Humanities and Social Sciences, National Institute of Technology, Agartala, Tripura, India
Shobhit Srivastava
Affiliation:
Department of Development Studies, International Institute of Population Studies, Mumbai, India
*
Corresponding author: Mithun Mog; Email: mi2un90@gmail.com
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Abstract

Limited evidence exists about the contraception uptake in indigenous tribal groups of the north-eastern region of India. This study based on the National Family Health Survey (NFHS) IV (2015–2016) reports aimed to describe the pattern and factors associated with contraceptive non-use in the tribal women of the north-eastern part of India. The study was a cross-sectional analytical study based on secondary analysis of NFHS-IV data. All women in the age group of 15–49 years from the north-eastern part of India were included. Data were extracted and analysed using modified STATA-14 software. The association of socio-demographic and economic characteristics with contraceptive non-use was assessed using logistic regression. The inter-group differences of population characteristics for non-use contraceptives were assessed by modified Blinder–Oaxaca decomposition technique using ‘Fairlie decomposition’. A total of 65,941 women were included, of whom 34,936 (52.9%) were tribal women. The proportion of contraceptive non-use was higher in tribal women. Tribal women with age at marriage above 30 years, Christian community, and women from Assam and Manipur state had higher odds of contraceptive non-use. The decomposition analysis showed that geographical variations, parity, and Christian religion contributed the most to contraceptive use disparity in the population. A huge gap was observed in contraceptive non-use among tribal and non-tribal women in the north-eastern part of India. The healthcare system must involve community representatives in designing context-specific community-based initiatives to increase the uptake of contraceptive use in these remote vulnerable communities.

Keywords

Fairlie decompositionfamily planningtribal womencontraceptivesNorth-East India
Type
Research Article
Information
Journal of Biosocial Science , Volume 56 , Issue 4 , July 2024 , pp. 754 - 766
Copyright
© MITHUN MOG, 2024. Published by Cambridge University Press

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References

Agrawal, S (2013) Disadvantageous situation of tribal women and children - a special reference to their health and nutritional status. Journal of Community Nutrition and Health 2, 1–14.Google Scholar
Anderson, I, Robson, B, Connolly, M, Al-Yaman, F, Bjertness, E, King, A, Tynan, M, Madden, R, Bang, A, Coimbra, CEA, Pesantes, MA, Amigo, H, Andronov, S, Armien, B, Obando, DA, Axelsson, P, Bhatti, ZS, Bhutta, ZA, Bjerregaard, P, Bjertness, MB, Briceno-Leon, R, Broderstad, AR, Bustos, P, Chongsuvivatwong, V, Chu, J, Deji, Gouda, J, Harikumar, R, Htay, TT, Htet, AS, Izugbara, C, Kamaka, M, King, M, Kodavanti, MR, Lara, M, Laxmaiah, A, Lema, C, Taborda, AML, Liabsuetrakul, T, Lobanov, A, Melhus, M, Meshram, I, Miranda, JM, Mu, TT, Nagalla, B, Nimmathota, A, Popov, AI, Poveda, AMP, Ram, F, Reich, H, Santos, RV, Sein, AA, Shekhar, C, Sherpa, LY, Skold, P, Tano, S, Tanywe, A, Ugwu, C, Ugwu, F, Vapattanawong, P, Wan, X, Welch, JR, Yang, G, Yang, Z and Yap, L (2016) Indigenous and tribal peoples’ health (The Lancet–Lowitja Institute Global Collaboration): a population study. The Lancet 388, 131–157. https://doi.org/10.1016/S0140-6736(16)00345-7 CrossRefGoogle ScholarPubMed
Balgir, RS (2001) Tribal health problems, disease burden and ameliorative challenges in tribal communities with special emphasis on tribes of Orissa. Proceedings of the National Symposium on Tribal Health, 161–176.Google Scholar
Chowdhury, S (2011) Employment in India: what does the latest data show?. Economic and Political Weekly 46, 23–26.Google Scholar
Dewri Bharali, M, Baruah, R and Ojah, J (2016) Comparative study of knowledge, attitude and practices toward contraception among tribal and non-tribal wives of eligible couples in a rural area of Assam. International Journal of Scientific Study 11. https://doi.org/10.17354/ijss/2016/62 Google Scholar
Fairlie, RW (2005) An extension of the Blinder-Oaxaca decomposition technique to logit and probit models. Journal of Economic and Social Measurement 30, 305–316. https://doi.org/10.3233/jem-2005-0259 CrossRefGoogle Scholar
International Institute for Population Sciences. (2017) National Family Health Survey (NFHS-4) 2015-16 India. International Institute for Population Sciences (IIPS) and ICF, 1–192.Google Scholar
Kamble, R, Malagatti, SM and Patil, S (2016) The social issues of tribes and role of mass media. International Journal of Peace, Education and Development 4, 65. https://doi.org/10.5958/2454-9525.2016.00009.3 CrossRefGoogle Scholar
Kumar, A and Singh, A (2015) Explaining the gap in the use of maternal healthcare services between social groups in India. Journal of Public Health 38, fdv142. https://doi.org/10.1093/pubmed/fdv142 CrossRefGoogle Scholar
Mcguire, TG, Alegria, M, Cook, BL, Wells, KB and Zaslavsky, AM (2006) Implementing the Institute of Medicine definition of disparities: an application to mental health care. Health Services Research 41, 1979–2005. https://doi.org/10.1111/j.1475-6773.2006.00583.x CrossRefGoogle ScholarPubMed
Mog, M, Chauhan, S, Jaiswal, A and Mahato, A (2020) Family planning practices among tribal women: an insight from Northeast India. Epidemiol Sci 10, 386.Google Scholar
Mondal, TK, Karmakar, PR and Roy, D (2012) Reproductive behaviour and contraceptive use among married tribal women in a rural area of Burdwan district, West Bengal. Indian Journal of Maternal and Child Health 14, 159–165.Google Scholar
Mukasa, B, Ali, M, Farron, M and Van de Weerdt, R (2017) Contraception supply chain challenges: a review of evidence from low- and middle-income countries. In European Journal of Contraception and Reproductive Health Care 22, 384–390. https://doi.org/10.1080/13625187.2017.1394453 CrossRefGoogle ScholarPubMed
Narzary, PK and Ao, M (2019) Assessment on determinants of contraceptive morbidity in Northeast India. Clinical Epidemiology and Global Health 7, 35–40. https://doi.org/10.1016/j.cegh.2017.12.006 CrossRefGoogle Scholar
New, JR, Cahill, N, Stover, J, Gupta, YP and Alkema, L (2017) Levels and trends in contraceptive prevalence, unmet need, and demand for family planning for 29 states and union territories in India: a modelling study using the Family Planning Estimation Tool. The Lancet Global Health 5, e350–e358. https://doi.org/10.1016/S2214-109X(17)30033-5 CrossRefGoogle ScholarPubMed
Osmani, AK, Reyer, JA, Osmani, AR and Hamajima, N (2015) Factors influencing contraceptive use among women in Afghanistan: secondary analysis of Afghanistan Health Survey 2012. Nagoya Journal of Medical Science 77, 551–561. https://doi.org/10.18999/nagjms.77.4.551 Google ScholarPubMed
Palo, SK, Samal, M, Behera, J and Pati, S (2020) Tribal eligible couple and care providers’ perspective on family planning: a qualitative study in Keonjhar district, Odisha, India. Clinical Epidemiology and Global Health 8, 60–65. https://doi.org/10.1016/j.cegh.2019.04.008 CrossRefGoogle Scholar
Prusty, R (2014) Use of contraceptives and unmet need for family planning among tribal women in India and selected hilly states. Journal of Health, Population and Nutrition 32, 342–355.Google ScholarPubMed
Sharma, RK and Rani, M (2009) Contraceptive use among tribal women of central India: experiences among DLHS-RCH – II Survey. Research and Practice in Social Sciences 5, 44–66.Google Scholar
Srikanthan, A and Reid, RL (2008) Religious and cultural influences on contraception. Journal of Obstetrics and Gynaecology Canada 30, 129–137. https://doi.org/10.1016/S1701-2163(16)32736-0 CrossRefGoogle ScholarPubMed
United Nations. (2015) TRANSFORMING OUR WORLD: THE 2030 AGENDA FOR SUSTAINABLE DEVELOPMENT.Google Scholar
Van De Poel, E and Speybroeck, N (2009) Decomposing malnutrition inequalities between Scheduled Castes and Tribes and the remaining Indian population. Ethnicity and Health 14, 271–287. https://doi.org/10.1080/13557850802609931 CrossRefGoogle ScholarPubMed